(a)

1. (1) Medications shall be properly stored and safeguarded in a locked medicine preparation room or locked in a cabinet at or near the staff work area to prevent access by unauthorized individuals.
2. (2) If medication carts are utilized for storage, they shall be locked when not in use.
3. (3) When the medication cart is in use, it shall be supervised by staff legally authorized to administer medications.
4. (4) Expired or discontinued medications shall not be stored with current medications.
5. (5) Storage areas shall not be located near sources of heat, humidity, or other hazards that may negatively impact medication effectiveness or shelf life.

(b)

1. (1) Medications requiring refrigeration shall be stored in a refrigerator at the temperature established by the United States Pharmacopeia, thirty-six degrees Fahrenheit (36°F) to forty-six degrees Fahrenheit (46°F), and recommended by the medication manufacturer.
2. (2) Medications requiring refrigeration shall be kept in a secured refrigerator, at or near the staff work area, used exclusively for medications, or in a secured manner in which medications are separated from other items in the refrigerator, such as a lock box.
3. (3) Food and drinks shall not be stored in the same refrigerator with medications.
4. (4) All refrigerators storing medications shall have accurate thermometers, within plus or minus three degrees Fahrenheit (3°F).

(c) Medications shall be stored:

1. (1) Separately from poisonous substances or body fluids; and
2. (2) In a manner which provides for separation between topical and oral medications, and which provides for separation of each individual resident’s medication.

(d) A psychiatric residential treatment facility shall maintain records of receipt, administration, and disposition of all controlled substances in sufficient detail to enable accurate reconciliation including:

1. (1)

   1. (A) Separate control sheets on any controlled substances.
   2. (B) This record shall contain the following information:

(i) Date;

1. (ii) Time administered;

   1. (iii) Name of resident;

      1. (iv) Dose;
      2. (v) Signature of individual administering;
      3. (vi) Name of physician or other legally authorized healthcare provider ordering the medication;
2. (2) At each shift change, a documented review of the control sheets by outgoing staff members with incoming staff members including verification by outgoing staff members indicating they have properly administered medications in accordance with orders by a physician or other authorized healthcare provider and have documented the administrations; and
3. (3) Errors or omissions indicated on the control sheets shall be addressed and corrective action taken at that time.